Individual provider · Type 1 NPI

Charles R. Gordon, MD

Neurological Surgery Physician · Tyler, TX

NPI number 1164535142 Active

Practice location

2737 S Broadway Ave
Tyler, TX 75701-5413

Call (903) 592-6000 Map

Fax (903) 592-3224

Mailing address

PO Box 6605
Tyler, TX 75711-6605

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XH5238 (TX)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1164535142

Charles R. Gordon, MD's National Provider Identifier is 1164535142, issued on Aug 16, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Tyler, TX. The record was last updated on Jan 30, 2019.